| NPI | 1366651630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: TX M1763) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX M1763) |
| 208600000X Surgery (Licence: OR MD26827) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: OR MD26827) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2022-06-14 |