| NPI | 1972921708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D89450) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME139570) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MD D89450) | |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2020-06-26 |