| NPI | 1124211271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: AR E-5763) |
| Additional Taxonomies | 208600000X Surgery (Licence: AR E-5763) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2020-01-16 |