| NPI | 1043259898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: NJ 25MA07791700) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: PA MD424633) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2016-05-27 |