| NPI | 1033117346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MA06470500) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ NJMA64705) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2023-04-28 |