| NPI | 1962428763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2019-01869) |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NC 2019-01869) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NC 2019-01869) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2023-12-18 |