| NPI | 1831192749 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OR MD14721) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MD MD-026854-E) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2013-07-02 |