| NPI | 1215087713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX L7058) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: ND 10984) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: ND PT10984) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: TX L7058) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2024-06-20 |