| NPI | 1649658220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA 61114016) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX BP10054323) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MN 67450) | |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2022-09-22 |