| NPI | 1871751008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME 99659) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: FL ME99659) |
| 207X00000X Orthopaedic Surgery (Licence: NY 243903) | |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2010-09-27 |