| NPI | 1174528194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NY 241536) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 241536) |
| 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: NY 241536) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2009-11-30 |