| NPI | 1659869949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0105828) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MD D0105828) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2026-07-07 |