| NPI | 1962496802 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: SC 29539) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101036674) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2013-08-17 |