| NPI | 1154314714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: TX E5680) |
| Additional Taxonomies | 2086S0105X Surgery Surgery of the Hand (Licence: TX E5680) |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2022-05-12 |