| NPI | 1639274061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NJ 25MA05042500) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MA05042500) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2021-03-12 |