| NPI | 1306160338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA12088300) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD450963) |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2024-02-07 |