| NPI | 1942513973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: SD 12310) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA MD-47925) |
| 207X00000X Orthopaedic Surgery (Licence: SD 12310) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IA MD-47925) | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2020-11-16 |