| NPI | 1639431885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NC 2019-01091) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 183323) |
| 207X00000X Orthopaedic Surgery (Licence: NC 2019-01091) | |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2022-11-22 |