| NPI | 1124205778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: LA 204868) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 001313) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2017-01-30 |