| NPI | 1457358780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 155630) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA G60184) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME51284) | |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2012-03-22 |