| NPI | 1326063371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 223569) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA07399000) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-12-20 |