| NPI | 1720244288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery Surgery of the Hand (Licence: WI 60479) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125052989) |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: WI 60479-20) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2021-12-17 |