| NPI | 1316380314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MA10617600) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: MN 63953) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD468156) | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2020-01-31 |