| 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 |