| NPI | 1831182617 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: TN 33893) | 
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TN 33893) | 
| Enumeration Date | 2005-08-26 | 
| Last Update Date | 2012-11-07 |