| NPI | 1346356904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NJ 25MA06568300) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA06568300) |
| 2086S0105X Surgery Surgery of the Hand (Licence: NJ 25MA06568300) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-02 |