| NPI | 1427496736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: SC 35822) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 35822) |
| 2086S0105X Surgery Surgery of the Hand (Licence: SC 35822) | |
| Enumeration Date | 2013-06-08 |
| Last Update Date | 2022-08-24 |