| NPI | 1942575139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO 0062540) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CO 0062540) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CO 0062540) | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2021-03-25 |