| NPI | 1740484187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CT 029910) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: CT 29910) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-12-14 |