| NPI | 1982696357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX S1028) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IA 25393) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2020-10-23 |