| NPI | 1740274018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: KY 36097) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: IN 01059565A) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2016-09-28 |