| NPI | 1760805055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA A196885) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A196885) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA MD61265677) | |
| 207X00000X Orthopaedic Surgery (Licence: MA 286432) | |
| 207X00000X Orthopaedic Surgery (Licence: WA MD61265677) | |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2024-12-09 |