| NPI | 1912038449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery Surgery of the Hand (Licence: NM MD2009-0150) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NM MD2009-0150) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2013-01-17 |