| NPI | 1891787339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GU MC-211) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: UT 3723061205) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2024-04-10 |