| NPI | 1265569255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NJ 25MA10537000) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NY 234257) |
| 207X00000X Orthopaedic Surgery (Licence: NY 234257) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2022-11-17 |