| NPI | 1831504885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: FL ME144651) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125.064974) |
| 207X00000X Orthopaedic Surgery (Licence: FL ME144651) | |
| Enumeration Date | 2014-06-29 |
| Last Update Date | 2020-12-09 |