| NPI | 1689018319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME141125) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OK 29945) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2026-06-22 |