| NPI | 1962664201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA MD60474913) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MD60474913) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2021-03-24 |