| NPI | 1891923058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NH 17127) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 262969) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NH 17127) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MA 262969) | |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2024-11-12 |