| NPI | 1417243619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MA 282762) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: RI MD19386) |
| Enumeration Date | 2011-06-26 |
| Last Update Date | 2025-01-10 |