| NPI | 1821088816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: VA 0101037662) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101037662) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: VA 0101037662) | |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2026-04-06 |