| NPI | 1245521442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: CT 053982) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.058847) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2015-07-15 |