| NPI | 1780003954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: CO DR.0064543) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: UT 11275382-1205) |
| 207X00000X Orthopaedic Surgery (Licence: UT 11275382-1205) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2020-08-31 |