| NPI | 1851577308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX N7323) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: TX N7323) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2025-08-15 |