| NPI | 1801915350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: CO DR51415) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 49777) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01069735A) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2014-11-13 |