| NPI | 1528446572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: TX U5988) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10052704) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2023-09-08 |