| NPI | 1629414388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: IA MD-49720) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA MD-49720) |
| 208600000X Surgery (Licence: IA R-9635) | |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2022-08-04 |