| NPI | 1295960698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CT 1.071534) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA09687400) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2022-06-14 |