| NPI | 1861807414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: GA 86346) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 86346) |
| 207X00000X Orthopaedic Surgery (Licence: NC 2019-00768) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2020-09-15 |