| NPI | 1801045364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35-094419) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OH 35.094419) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2022-12-07 |