| NPI | 1780927533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA MD60970024) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD60970024) |
| Enumeration Date | 2013-03-30 |
| Last Update Date | 2022-05-09 |