| NPI | 1174050926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX U4665) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX 667403) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: MN 70872) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-01-02 |