| NPI | 1912953811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 19218) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: KY 19218) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2018-02-28 |