NPI | 1669454625 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 181147) |
Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NY 181147) |
207X00000X Orthopaedic Surgery (Licence: NY 181147) | |
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NY 181147) | |
Enumeration Date | 2005-11-16 |
Last Update Date | 2008-02-15 |