| NPI | 1700048279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A125606) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT192455) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA A125606) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2021-12-08 |