| NPI | 1710118963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL me110134) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301085888) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2011-11-17 |