| NPI | 1184616203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: NY 186641) |
| Additional Taxonomies | 2086S0105X Surgery Surgery of the Hand (Licence: NY 186641) |
| 207X00000X Orthopaedic Surgery (Licence: NY 186641) | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2015-10-13 |