| NPI | 1225028491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: TX M2732) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX M2732) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX M2732) | |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2020-04-28 |