| NPI | 1972538353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA G54871) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: CA G54871) |
| 2086S0129X (Licence: CA G54871) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2022-07-21 |