| NPI | 1700205903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 7111) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: MO 2025016977) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2026-09-24 |