| NPI | 1649624677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: TN 64610) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 64610) |
| 208600000X Surgery (Licence: TN 64610) | |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2025-10-13 |