| NPI | 1730350356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery Surgery of the Hand (Licence: KY 41580) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT181750) |
| 208600000X Surgery (Licence: OH 57.009697) | |
| Enumeration Date | 2008-03-23 |
| Last Update Date | 2022-06-08 |