| NPI | 1043467384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD439395) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A97865) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 307138) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME152694) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MA08750000) | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2022-03-14 |