| NPI | 1912107954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 60809) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WI 60809-21) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2023-10-19 |