| NPI | 1780646372 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: CA a98980)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 213175)  | 
| 208600000X Surgery (Licence: CA A98980)  | |
| Enumeration Date | 2006-04-06 | 
| Last Update Date | 2025-06-09 |