| NPI | 1720286578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NC 200701091) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2007-01091) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2026-08-25 |