| NPI | 1801215314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WI 72771-20) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA R-10067) |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2020-08-31 |