| NPI | 1487655155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME49321) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: FL ME49321) |
| 2086S0105X Surgery Surgery of the Hand (Licence: FL ME49321) | |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2022-11-22 |