| NPI | 1841443835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: FL ME110115) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME 110115) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2025-02-11 |