| NPI | 1407978125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: MA 243021) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 252722) |
| 207X00000X Orthopaedic Surgery (Licence: MA 221838) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2026-04-02 |