| NPI | 1841376969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: CA A97174) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A97174) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2022-07-07 |