| NPI | 1952513079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0105X Surgery Surgery of the Hand (Licence: NV 13102) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 41501) |
| 2086S0105X Surgery Surgery of the Hand (Licence: IL 125-045179) | |
| 2086S0105X Surgery Surgery of the Hand (Licence: KY 41501) | |
| 2086S0105X Surgery Surgery of the Hand (Licence: AZ 40241) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-12-08 |