| NPI | 1942241583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OR MD27326) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35-05-9608) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2013-03-19 |