| NPI | 1043461908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MB08520600) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA os014496) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2019-04-02 |