| NPI | 1689936775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 333606-01) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 333606-01) |
| 207X00000X Orthopaedic Surgery (Licence: HI md17249) | |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2025-01-27 |