| NPI | 1720295231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA A122003) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 57011782) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2012-09-05 |