| NPI | 1700041217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA 132066) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA 60020738) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 269399-1) | |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2021-12-08 |