| NPI | 1962825216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX S3126) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX S3126) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2025-07-21 |