| NPI | 1922047505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: ME MD17126) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ME 017126) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2015-08-28 |