| NPI | 1376599860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: PA MD422003) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA08912300) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2022-02-22 |