| NPI | 1124339601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD458199) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD458199) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MA10850900) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2024-05-16 |