| NPI | 1588603039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: UT 6032641-1205) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: UT 60326411205) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: UT 6032641-1205) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2012-11-20 |