| NPI | 1780620013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA G58799) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G58799) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2025-05-06 |