NPI | 1356788160 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MA10438100) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT203835) |
Enumeration Date | 2013-06-03 |
Last Update Date | 2023-11-24 |