| NPI | 1316981954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: CA G89005) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: FL ME99035) |
| 2086S0105X Surgery Surgery of the Hand (Licence: NY 212390-1) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-07-28 |