| NPI | 1720015308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD045154E) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ MA054808) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD045154E) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ MA054808) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: PA MD045154E) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: NJ MA054808) | |
| 2251H1200X Physical Therapist, Hand (Licence: PA MD045154E) | |
| 2251H1200X Physical Therapist, Hand (Licence: NJ MA054808) | |
| 225XH1200X Occupational Therapist, Hand (Licence: PA MD045154E) | |
| 225XH1200X Occupational Therapist, Hand (Licence: NJ MA054808) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2016-03-09 |