| NPI | 1962825216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: TX S3126) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX S3126) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2026-02-06 |