| NPI | 1578659082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: NJ MA46176) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ MA46176) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2015-02-23 |