| NPI | 1932559077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AZ 71687) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: AZ 71687) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2024-03-22 |