| NPI | 1265876015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 296150) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MA11482600) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CT 062023) | |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2023-07-28 |