| NPI | 1144340183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: VA 101247549) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 239250) |
| 208600000X Surgery (Licence: VA 0101247549) | |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2017-10-23 |