| NPI | 1932472826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: ZZ 4370349) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: AZ TL121) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2014-09-30 |