| NPI | 1831204346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MI 4301098609) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO 41918) |
| 207X00000X Orthopaedic Surgery (Licence: MI 4301098609) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2022-11-04 |