| NPI | 1649435645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NC 2011-01107) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX AR3354292-150318) |
| 207X00000X Orthopaedic Surgery (Licence: NC 2011-01107) | |
| Enumeration Date | 2008-07-20 |
| Last Update Date | 2024-02-12 |