| NPI | 1982759957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CO DR.0067093) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 60-213031) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 213031) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 60-213031) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2021-12-20 |