| NPI | 1528003829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: WY 11027A) |
| Additional Taxonomies | 208600000X Surgery (Licence: WY 11027A) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: MI 5101012652) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: WY 11027A) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2022-11-03 |