| NPI | 1306927850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: NC 2008-00266) |
| Additional Taxonomies | 208600000X Surgery (Licence: AR E-5147) |
| 208600000X Surgery (Licence: NC 2008-00266) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: AR E-5147) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2019-10-28 |