| NPI | 1275777591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MA09302400) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 294516) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2023-05-09 |