| NPI | 1598085961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: NJ 25MA10602900) |
| Additional Taxonomies | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: PA MD458046) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2024-03-26 |