| NPI | 1700049699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: GA 66201) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 66201) |
| 207X00000X Orthopaedic Surgery (Licence: LA 312161) | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: LA 312161) | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: GA 66201) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: LA 312161) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2023-02-16 |