| NPI | 1215101373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NC 2018-00262) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2018-00262) |
| 207X00000X Orthopaedic Surgery (Licence: NJ 25MAO8255500) | |
| 207X00000X Orthopaedic Surgery (Licence: RI 14939) | |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2021-10-18 |