| NPI | 1639135445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery Surgery of the Hand (Licence: CA G81316) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: CA G81316) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2025-07-14 |