| NPI | 1811159619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 289006) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: DC MD043532) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2026-04-10 |