| NPI | 1659803336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA MD61555129) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD61555129) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2024-10-02 |