| NPI | 1871854554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OK 29279) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD461592) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD461592) | |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2023-06-16 |