| NPI | 1497799431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery Surgery of the Hand (Licence: PA MD029898E) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NJ 25MA09349000) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2015-11-10 |