| NPI | 1982929717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2016-00594) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NC 2016-00594) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2021-03-25 |