| NPI | 1659786697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NC 2020-00607) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2020-00607) |
| Enumeration Date | 2014-06-29 |
| Last Update Date | 2024-04-17 |