| NPI | 1659613420 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CO Dr.0061969) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2018-00663) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2022-01-13 |