| NPI | 1285899203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MA09359900) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA mt193687) |
| 207X00000X Orthopaedic Surgery (Licence: NJ 25MA09359900) | |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2023-11-22 |