| NPI | 1699725952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: SC 10481) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: SC 10481) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: WA MD61280339) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2022-03-24 |