| NPI | 1740695824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX S7395) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101021223) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2021-12-02 |