| NPI | 1841426970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: WA MD60552138) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD60552138) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2023-09-27 |