| NPI | 1710931738 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CT 032872) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 032872) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: CT 032872) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2021-06-17 |