| NPI | 1952627580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NV 16371) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV 16371) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2018-03-13 |