| NPI | 1073557153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD H0061977) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: DE c2-0009927) |
| 207X00000X Orthopaedic Surgery (Licence: NJ 25MB05579700) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2025-11-07 |