| NPI | 1073774386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA09511600) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 307146) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NJ 25MA09511600) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2024-07-17 |