| NPI | 1770512949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: FL ME108781) |
| Additional Taxonomies | 174400000X Specialist (Licence: AR E4854) |
| 174400000X Specialist (Licence: FL ME 108781) | |
| 207X00000X Orthopaedic Surgery (Licence: FL ME108781) | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2021-04-08 |