| NPI | 1679033708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MA12724700) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD490395) |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2025-08-11 |