| NPI | 1235128547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: OH 350076073) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 350076073) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2021-04-09 |