| NPI | 1821109133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: CA A120998) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA ML20008597) |
| 207X00000X Orthopaedic Surgery (Licence: NY 260096) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-05-29 |