| NPI | 1124387881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25IA12516100) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX R7558) |
| 207X00000X Orthopaedic Surgery (Licence: DC MD047348) | |
| 207X00000X Orthopaedic Surgery (Licence: MD 25IA12516100) | |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2025-04-17 |