| NPI | 1922194091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NE 23867) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NE 23867) |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: IA MD-45361) | |
| 2086S0105X Surgery Surgery of the Hand (Licence: IA MD-45361) | |
| 2083A0100X Preventive Medicine Aerospace Medicine (Licence: NE 23867) | |
| 2086S0105X Surgery Surgery of the Hand (Licence: NE 23867) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-12-15 |