| NPI | 1770876823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: KY 50386) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OH 35.127695) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2023-02-15 |