| NPI | 1508023466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: FL Os16566) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA09220800) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2020-05-12 |