| NPI | 1790962488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 66154) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: GA 66154) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2012-06-22 |