| NPI | 1639160476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX M6367) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX M6367) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OH 35.089680) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 202664) | |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2018-08-27 |