| NPI | 1841455193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: VA 0101254303) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT189438) |
| 208600000X Surgery (Licence: VA 0101254303) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: KY 45151) | |
| Enumeration Date | 2008-07-26 |
| Last Update Date | 2023-05-16 |