| NPI | 1760682660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: AZ 51020) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA ML20009077) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2015-10-01 |