| NPI | 1801882311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OH 35.042929) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 35042929) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2016-09-30 |