| NPI | 1013175942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NY 264096) |
| Additional Taxonomies | 2086S0105X Surgery Surgery of the Hand (Licence: NY 264096) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2021-04-02 |