| NPI | 1407029077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX Q0730) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD448190) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MA09280600) | |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2021-07-06 |