| NPI | 1326367012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA11628300) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD458559) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2024-05-23 |