| NPI | 1376584615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: FL ME93449) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME93449) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2023-07-10 |