| NPI | 1114955689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD054363L) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD054636L) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MA06879000) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 206625) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: DE C1-0005533) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2021-11-12 |