| NPI | 1801805429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: GA 68522) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MA 246629) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OH 35.099874) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2013-11-03 |