| NPI | 1902990443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: NJ MA41767) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ MA41767) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2017-02-24 |