| NPI | 1659532547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: ID M12483) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC LL31046) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2017-01-10 |