| NPI | 1033304589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 294764) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 294764) |
| 207X00000X Orthopaedic Surgery (Licence: NY 390200000X) | |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2020-10-13 |