| NPI | 1740842897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME157497) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: KY FT600) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME157497) | |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2022-10-25 |