| NPI | 1386959336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: MI 4301096235) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301096235) |
| Enumeration Date | 2010-08-15 |
| Last Update Date | 2019-10-28 |