| NPI | 1841345451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WV 22645) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: WV 22645) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2022-04-07 |