| NPI | 1932101748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NC 9900514) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 9900514) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2012-03-15 |