| NPI | 1427222595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: MA 257685) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: RI MD15993) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2020-04-23 |