| NPI | 1699976837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD437130) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME153143) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 252953) | |
| 207X00000X Orthopaedic Surgery (Licence: NJ 25MA09439900) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2022-02-22 |