| NPI | 1821231655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SC 37862) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: SC 37862) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2019-01-16 |