| NPI | 1841644630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA MD61190269) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD61190269) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MA 287706) | |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2023-01-19 |