| NPI | 1285635904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: MT 8585) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR MD192627) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MT 8585) | |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2020-11-05 |