| NPI | 1811103047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MD D0066030) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ME MD22712) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2019-02-06 |