| NPI | 1952577447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101252096) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA08350200) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: VA 0101252096) | |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2024-04-28 |