| NPI | 1215011846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KS 04-43413) |
| Additional Taxonomies | 208600000X Surgery (Licence: AL 00019179) |
| 208600000X Surgery (Licence: MS 12574) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: MS 12574) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2021-03-26 |