| NPI | 1891145207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NC 2022-00956) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC LL39807) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2022-07-02 |