| NPI | 1972534873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: CO 47164) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: TX 4841) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2016-03-30 |