| NPI | 1750305728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: MA 224934) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NC 2018-02997) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2023-04-17 |