| NPI | 1144228248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: SD 11287) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NJ MA05928700) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2019-01-10 |