| NPI | 1164513065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: MA 153880) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 153880) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MA 153880) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2019-02-01 |