| NPI | 1336237411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0059467) |
| Additional Taxonomies | 2086S0105X Surgery Surgery of the Hand (Licence: MD D0059467) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2016-03-21 |