| NPI | 1427071042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD025337E) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 1298001) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OH 35050066) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |