| NPI | 1932218716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CT 010692) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: ME 008232) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2014-12-10 |