| NPI | 1821261652 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2013-00048)  | 
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NC 2013-00048)  | 
| Enumeration Date | 2008-04-13 | 
| Last Update Date | 2024-07-22 |