| NPI | 1053706192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: MO 20210000582) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MO 20210000582) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2024-07-08 |