NPI | 1528095114 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD061775L) |
Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: PA MD061775L) |
2251H1200X Physical Therapist, Hand (Licence: NJ MA065630) | |
2251H1200X Physical Therapist, Hand (Licence: PA MD061775L) | |
225XH1200X Occupational Therapist, Hand (Licence: NJ MA065630) | |
225XH1200X Occupational Therapist, Hand (Licence: PA MD061775L) | |
2086S0105X Surgery, Surgery of the Hand (Licence: NJ MA065630) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: NJ MD061775L) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD061775L) | |
Enumeration Date | 2006-06-27 |
Last Update Date | 2020-06-29 |