| NPI | 1316034002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA06769800) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA06769800) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2009-12-17 |