| NPI | 1013174697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CT 50843) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 245902) |
| 207X00000X Orthopaedic Surgery (Licence: NY 245902) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2020-01-14 |