| NPI | 1497729057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 28814) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: KY 28814) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2010-01-27 |