| NPI | 1295990976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: PA MD452555v) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: NJ 25MA08617700) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: WV 24108) | |
| 208600000X Surgery (Licence: PA MD452555) | |
| 208600000X Surgery (Licence: TX N0127) | |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2026-02-27 |