| NPI | 1003927724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: MI 4301034889) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301034889) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-03-24 |