| NPI | 1982852877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35093991) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IL 036.123697) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: VA 0101245826) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OH 35093991) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MN 51034) | |
| 207X00000X Orthopaedic Surgery (Licence: IL 036.123697) | |
| 207X00000X Orthopaedic Surgery (Licence: VA 0101245826) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MN 103882) | |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2025-07-11 |