| NPI | 1639120702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: GA 057297) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 057297) |
| 207X00000X Orthopaedic Surgery (Licence: WI 43955) | |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2019-06-06 |