| NPI | 1881697514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: NC 25216) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 25216) |
| Enumeration Date | 2005-05-26 |
| Last Update Date | 2015-05-04 |