| NPI | 1871528174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA A71080) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A71080) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2024-07-05 |