| NPI | 1104074483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 82577-20) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 01199) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: ND 11957) | |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2024-01-18 |