Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | 7510 | NH |
NPI | 1184629305 |
---|---|
Provider Name | Peter A Winkler |
First Address | Dover, NH 03820-3491 |
Second Address | Dover, NH 03820-3491 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2005 |
Last Update Date | 30/10/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30002010 | (05) | NH |