| NPI | 1710163886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME103749) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036-114982) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME103749) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MA 235365) | |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2020-01-27 |