| NPI | 1679520381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0105X Surgery Surgery of the Hand (Licence: NY 270923) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 270923) |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NY 270923) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2023-03-25 |