| NPI | 1881989853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX R2576) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CO DR.0056809) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2023-02-07 |