| NPI | 1912517350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID M-15355) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD61090708) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA MD61090708) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: ID M-15355) | |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2024-05-01 |