| NPI | 1790727964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: MI 4301407118) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MI JH407118) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2016-12-05 |