| NPI | 1326229196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: NY 246004) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 246004-1) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2017-02-20 |