| NPI | 1851512412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: PA MD-038106-E) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: HI MD-8353) |
| 207X00000X Orthopaedic Surgery (Licence: PA MD-038106-E) | |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: HI MD-8353) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-01-07 |