| NPI | 1659362044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NY 167883) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 167883) |
| 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: NY 167883) | |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: NY 167883) | |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: NY 167883) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2025-05-28 |