| NPI | 1972753275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: VA 0101257696) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: WA MD60217443) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2020-10-28 |