| NPI | 1649512989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 276848) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: MN 62055) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2023-10-04 |