| NPI | 1780682591 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: DC 30872) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D0053126) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MD D0053126) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2025-01-30 |