| NPI | 1467621599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME137442) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2019702) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MO 2019702) | |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: AL 28641) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AL 28641) | |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2020-02-17 |