NPI | 1235558362 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA10763300) |
Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NJ 25MA10763300) |
207X00000X Orthopaedic Surgery (Licence: PA MD469339) | |
Enumeration Date | 2014-04-16 |
Last Update Date | 2024-06-10 |