| NPI | 1073563078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD034449E) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MA08608100) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2015-11-10 |