| NPI | 1669852489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 20A15309) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: KY 04718) |
| Enumeration Date | 2015-06-06 |
| Last Update Date | 2020-03-30 |