| NPI | 1790941920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OR MD28992) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR MD28992) |
| 207X00000X Orthopaedic Surgery (Licence: TX M8769) | |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2019-06-10 |