| NPI | 1366619736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 237193) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: RI MD12621) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: RI MD12621) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2025-05-28 |