| NPI | 1689670952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery Surgery of the Hand (Licence: TN MD28074) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: TN 28074) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2012-11-07 |