| NPI | 1902300189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: AZ 73174) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 73174) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2024-06-06 |