NPI | 1275981060 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA11870100) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: RI MD17668) |
Enumeration Date | 2016-06-02 |
Last Update Date | 2023-12-20 |