| NPI | 1093745408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 231738) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: NY 231738) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2025-11-07 |