| NPI | 1649414541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: NJ 25MA08734000) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 265311) |
| 208600000X Surgery (Licence: NJ 25MA08734000) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: NY 256311) | |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2013-07-31 |