| NPI | 1679747067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME108747) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: NY 253066) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: CT 047689) | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2013-10-01 |