| NPI | 1942664933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX T4973) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL MD.42639) |
| 207X00000X Orthopaedic Surgery (Licence: TX T4793) | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2022-12-16 |