| NPI | 1013187681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME110018) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 241712) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 241712) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME110018) | |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2014-09-16 |