| NPI | 1861407512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WI 52116-21) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 34-00-8685) |
| 207X00000X Orthopaedic Surgery (Licence: WI 52116-21) | |
| 207X00000X Orthopaedic Surgery (Licence: FL U01429) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-01-17 |