| NPI | 1992721617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NJ 25MA08308800) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NY 229639) |
| 207X00000X Orthopaedic Surgery (Licence: MA 230210) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2019-04-16 |