| NPI | 1972943520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA A174754) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 273884) |
| 207X00000X Orthopaedic Surgery (Licence: CA A174754) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2022-07-21 |