| NPI | 1093194367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA10396600) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD455157) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2023-03-27 |