| NPI | 1316351489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA10262900) |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: MI 4301117332) |
| 207X00000X Orthopaedic Surgery (Licence: MI 4301117332) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2024-05-02 |