| NPI | 1366449449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MA05983000) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA05983000) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2020-09-02 |