| NPI | 1972738979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD452047) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MT206619) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: TX Q4534) | |
| 207X00000X Orthopaedic Surgery (Licence: TX BP 1-0034797) | |
| 207X00000X Orthopaedic Surgery (Licence: PA MD452047) | |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2024-08-20 |