| NPI | 1780096156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2023-00152) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NC 2023-00152) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2024-02-27 |