| NPI | 1922270271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: AZ 48928) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 48928) |
| 207X00000X Orthopaedic Surgery (Licence: MA 253852) | |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2022-07-26 |