| NPI | 1023095973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: PR 6844) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: PR 6844) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2007-07-08 |