| NPI | 1083667273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: OH 35.079681) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OH 350799691) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2025-05-13 |