| NPI | 1265475354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: GA 38591) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL MD.18041) |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: AL MD.18041) | |
| 2086S0105X Surgery Surgery of the Hand (Licence: AL MD.18041) | |
| 2086S0105X Surgery Surgery of the Hand (Licence: GA 038591) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-11-20 |