| NPI | 1235242934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ MA08542100) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NH LT 2765) |
| 207X00000X Orthopaedic Surgery (Licence: FL ME96545) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: FL ME96545) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NJ MA08542100) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2021-02-09 |