| NPI | 1952675456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NV 17629) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NV 17629) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2023-02-11 |