| NPI | 1831255934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: FL ME 98153) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 60-242078) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: NY 60-242078) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: NJ 25MA08224900) | |
| Enumeration Date | 2006-12-31 |
| Last Update Date | 2018-07-05 |