| NPI | 1023051307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX m7331) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NV DO1445) |
| 208600000X Surgery (Licence: FL OS9504) | |
| 208600000X Surgery (Licence: NY 219738) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: AZ 4587) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2021-11-16 |