| NPI | 1700862448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TN 35792) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: LA MD.020016) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2014-05-19 |