| NPI | 1255407953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: GU M00958) |
| Additional Taxonomies | 208600000X Surgery (Licence: GU M-958) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: TX J9150) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: HI MD9588) | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2020-04-27 |