| NPI | 1982017836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: PA MD467130) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA L-259394) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2023-09-26 |