| NPI | 1912292889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: GA 78053) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC LL33719) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IA R-10464) | |
| Enumeration Date | 2011-06-18 |
| Last Update Date | 2023-03-09 |