| NPI | 1174185110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD484985) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT217410) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MA12386400) | |
| Enumeration Date | 2019-06-30 |
| Last Update Date | 2025-08-05 |