| NPI | 1972802379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IA MD-44429) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA MD-44429) |
| 207X00000X Orthopaedic Surgery (Licence: NE 30093) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NE 30093) | |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2022-06-24 |