| NPI | 1790737492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: VA 0101233158) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101233158) |
| 207X00000X Orthopaedic Surgery (Licence: VA 0101233158) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2019-08-14 |