| NPI | 1992923874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 7276060-1205) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: UT 7276030-1205) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-01-20 |