| NPI | 1740265917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL OS22196) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 34.007665) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OH 34007665) | |
| Enumeration Date | 2005-12-10 |
| Last Update Date | 2025-07-18 |