| NPI | 1710151048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: AZ 47046) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 47046) |
| 2086S0105X Surgery Surgery of the Hand (Licence: AZ 47046) | |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2013-10-01 |