| NPI | 1285748541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 153790) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 153790) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NY 153790) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2010-06-25 |