| NPI | 1982965778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: SC 34726) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 34726) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2021-11-16 |