| NPI | 1255310421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery Surgery of the Hand (Licence: MN 44072) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 44072) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2020-08-20 |