| NPI | 1669834529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: NY 323772) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 323772) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 323772) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NY 323772) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2023-08-01 |