| NPI | 1558370924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: TX H6036) |
| Additional Taxonomies | 2086S0105X Surgery Surgery of the Hand (Licence: TX H6036) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2017-05-09 |