| NPI | 1902827330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 211724) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 211724) |
| 174400000X Specialist (Licence: MD 211724) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2021-03-28 |