| NPI | 1891772257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: VA 0101040796) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: VA 0101040796) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2022-08-16 |