| NPI | 1790096113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: GA 68408) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 68408) |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: FL ME128529) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2020-08-11 |