| NPI | 1952536641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: MS 24009) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: TN 53078) |
| Enumeration Date | 2009-05-25 |
| Last Update Date | 2022-10-06 |