| NPI | 1003950569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery Surgery of the Hand (Licence: MA 265203) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MT 141560) |
| 2086S0105X Surgery Surgery of the Hand (Licence: WA MD61233140) | |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2024-05-17 |