| NPI | 1396907838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MA09481700) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD451205) |
| 207X00000X Orthopaedic Surgery (Licence: NJ 25MA09481700) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD451205) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2023-07-18 |