| NPI | 1922021500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: ID M-4164) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ID M-4164) |
| 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: ID M-4164) | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: ID M-4164) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2012-05-01 |