| NPI | 1235558362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA10763300) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD469339) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NJ 25MA10763300) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2025-06-30 |