| NPI | 1598082331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 270242) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NY 2702421) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2024-03-28 |