| NPI | 1710182167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 238648-1) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 238648) |
| Enumeration Date | 2007-06-17 |
| Last Update Date | 2022-03-07 |