| NPI | 1770840928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: SC 61265) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 61265) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2019-09-25 |