| NPI | 1750441317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MA08767700) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA08767700) |
| 207X00000X Orthopaedic Surgery (Licence: PA MD430647) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD430647) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2023-06-15 |