| NPI | 1679912851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: CT 72353) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL OS14877) |
| 208600000X Surgery (Licence: CT 72353) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: FL OS14877) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2023-10-05 |