| NPI | 1982680518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX K5524) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR MD172665) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: TX K5524) | |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2025-07-02 |