| NPI | 1699035634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MN 63377) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: RI MD15850) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2018-08-06 |