| NPI | 1619965126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX E9593) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: TX E9593) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2021-06-14 |