| NPI | 1881669596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: CA G40781) |
| Additional Taxonomies | 2086S0105X Surgery Surgery of the Hand (Licence: CA G407810) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2022-03-03 |