| NPI | 1871522490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: ME MD23422) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX Q3138) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX Q3138) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2021-07-16 |