| NPI | 1689839011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA OP60606905) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OK 4633) |
| 207X00000X Orthopaedic Surgery (Licence: FL OS11558) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA OP60606905) | |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2016-02-02 |