| NPI | 1710955794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: OH 35068643) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35-068643) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2019-07-22 |