| NPI | 1821246935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: DC MD037782) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D0068508) |
| 208600000X Surgery (Licence: VA 0101244772) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: MD D0068508) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: VA 0101244772) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: DC MD037782) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2019-04-09 |