| NPI | 1295037356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MB09864600) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA OT013552) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2018-03-17 |