| NPI | 1245403013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD443430) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MA09473100) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 302960) | |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2024-04-25 |