| NPI | 1700800216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OR MD19007) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR md19007) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OR MD19007) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: OR MD19007) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-07-20 |