| NPI | 1861503294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OR MD157345) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NM MD2010-0151) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-11-12 |