| NPI | 1932460235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2023-00956) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 252068) |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NC 2023-00956) | |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: MA 252068) | |
| 2086S0105X Surgery Surgery of the Hand (Licence: MA 252068) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2023-08-31 |