NPI | 1992788863 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ 25MA07563800) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA07563800) |
Enumeration Date | 2005-11-23 |
Last Update Date | 2021-07-22 |