| NPI | 1871513176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA06184800) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NJ 25MA06184800) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2019-09-30 |