| NPI | 1407978125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: MA 243021) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 221838) |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NY 252722) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2011-10-25 |