| NPI | 1609119239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: TX S7451) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: AZ 58896) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2021-10-06 |