| NPI | 1215384656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA11150300) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MA11150300) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2024-06-25 |