| NPI | 1972573590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX G8014) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: ND 19079) |
| 207X00000X Orthopaedic Surgery (Licence: TX G8014) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2025-09-23 |