| NPI | 1841427556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 174875) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2009013685) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OH 35.122936) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD454361) | |
| Enumeration Date | 2009-06-20 |
| Last Update Date | 2021-12-27 |