| NPI | 1073695458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA07126700) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD060968L) |
| 207X00000X Orthopaedic Surgery (Licence: NY 307394) | |
| 207X00000X Orthopaedic Surgery (Licence: FL ME152677) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2022-02-28 |