| NPI | 1649282302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: CA A86508) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A86508) |
| 207X00000X Orthopaedic Surgery (Licence: CA A86508) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-11-03 |