| NPI | 1780897645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NC 2008-00641) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2008-00641) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2021-03-02 |