| NPI | 1942599246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: VA 0101278099) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 288410) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 288410) | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2023-04-25 |