| NPI | 1720236433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OH 34.010845) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2007019834) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2017-11-10 |