| NPI | 1427613215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NV DO3940) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV SL1432) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MB12206400) | |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2025-08-01 |