| NPI | 1902012800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL OS12091) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL OS12091) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL OS12091) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2022-11-10 |