| NPI | 1023127537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery Surgery of the Hand (Licence: NJ 25MA03841200) |
| Additional Taxonomies | 2086S0105X Surgery Surgery of the Hand (Licence: NY 1425141) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |