| NPI | 1366761926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: MI 5101018690) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5101018690) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2023-11-27 |