| NPI | 1770902108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A137721) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA A137721) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: DC MD500002998) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2025-03-31 |