| NPI | 1578594784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MA09022500) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2006002058) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD431574) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2015-11-10 |