| NPI | 1174884779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA10357500) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NJ 25MA10357500) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2023-09-19 |