| NPI | 1629283510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: CA C15029) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: NV 14660) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2019-03-23 |