| NPI | 1659365930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: KY 38243) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IN 01060101A) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2023-11-21 |