| NPI | 1033166764 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: RI MD09246) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 150536) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MA 150536) | |
| 207X00000X Orthopaedic Surgery (Licence: RI MD09246) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2013-12-04 |