| NPI | 1265813935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NJ 25MA10600100) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA10600100) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2022-11-22 |