| NPI | 1730140138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 207841) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 207841) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NY 207841) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2021-03-10 |