| NPI | 1689028904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NC 2019-01970) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2019-01970) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2025-11-25 |