| NPI | 1780705947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA MD60024708) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 236571) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2011-12-30 |