| NPI | 1912997503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD453572) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX N7012) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX N7012) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX N7012) | |
| 207X00000X Orthopaedic Surgery (Licence: PA MD453572) | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2016-05-17 |