| NPI | 1861755126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR DO193270) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OR DO193270) |
| 207X00000X Orthopaedic Surgery (Licence: OR PG157927) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2020-05-18 |