| NPI | 1336130673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 210396-1) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 210396-1) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ MA-61400) | |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2018-04-20 |