| NPI | 1720175458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NC 2002-01215) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2002-01215) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2012-08-03 |