| NPI | 1558339564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MA06444100) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA06444100) |
| 207X00000X Orthopaedic Surgery (Licence: PA MD442012) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME153026) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MA64441) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD442012) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2022-03-14 |