| NPI | 1982679106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MN 49853) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 33905) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: AZ 33905) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: MN 49853) | |
| 208600000X Surgery (Licence: ME MD20519) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2015-06-26 |