| NPI | 1982666459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 167527) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: NY 167527) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2008-06-03 |