| NPI | 1952426074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: TN 44495) |
| Additional Taxonomies | 208600000X Surgery (Licence: MS 19684) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2015-11-02 |