| NPI | 1780942631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: MN 63911) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 63911) |
| Enumeration Date | 2012-04-29 |
| Last Update Date | 2023-05-22 |