| NPI | 1710140587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: FL ME111427) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME111427) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: FL ME111427) | |
| 208600000X Surgery (Licence: FL ME111427) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2023-02-03 |