| NPI | 1720062888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: OH 34.006638) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OH 34006833S) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2016-02-05 |