| NPI | 1699922781 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: FL ME111471) | 
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME111421) | 
| 208600000X Surgery (Licence: FL ME111421) | |
| Enumeration Date | 2008-08-20 | 
| Last Update Date | 2016-08-29 |