| NPI | 1609013036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: GA 72644) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: NY 258302-1) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: CT 050410) | |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2015-02-17 |