| NPI | 1811151962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: TX N6610) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 58183) |
| 207X00000X Orthopaedic Surgery (Licence: TX N6610) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX N6610) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX N6610) | |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2021-06-04 |