| NPI | 1811335185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME144190) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01082261A) |
| 208600000X Surgery (Licence: PA MT204940) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2020-08-11 |