| NPI | 1912298001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MO 2014008806) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: KS 04-37415) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2019-07-26 |