| NPI | 1881634863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: WA MD40677) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD40677) |
| 207X00000X Orthopaedic Surgery (Licence: OR MD23597) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2021-04-28 |