| NPI | 1720273089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: OH 35-095117) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35-095117) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2023-10-05 |