| NPI | 1891181012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CO DR.0065921) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 282426) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2024-12-24 |