| NPI | 1801895974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NV 10288) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA G84436) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2014-07-16 |