| NPI | 1760914451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME163348) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME163348) |
| 207X00000X Orthopaedic Surgery (Licence: OH 57.028808) | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2025-11-09 |