| NPI | 1790218840 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: KS 04-47308) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MO 2023001881) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2023-06-22 |