| NPI | 1982926523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: DC MD039582) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DC MD039582) |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NY 244601) | |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2023-01-09 |