| NPI | 1861736027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301101291) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MI 4301101291) |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2020-10-22 |