| NPI | 1275013609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 315483) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: KY FT581) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2022-09-27 |