| NPI | 1295799666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD480740) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D0055971) |
| 207X00000X Orthopaedic Surgery (Licence: OH 35.066570) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 287705) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2023-04-14 |