| NPI | 1326240425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery Surgery of the Hand (Licence: ID M-13763) |
| Additional Taxonomies | 208600000X Surgery (Licence: UT 80664388017) |
| 208600000X Surgery (Licence: WI 48738-020) | |
| 2086S0105X Surgery Surgery of the Hand (Licence: SD 8873) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2023-03-28 |