| NPI | 1568674059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: GA 059946) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD424013) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MA08099700) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2009-08-17 |