| NPI | 1164744942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: ND 12369) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD438389) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2023-12-20 |