| NPI | 1013034925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: FL ME0055261) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: ID 3871974) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2025-10-06 |