| NPI | 1770694622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: CA G11808) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G11080) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-09-11 |