| NPI | 1376526475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD042305L) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA10628400) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: PA MD042305L) | |
| 207X00000X Orthopaedic Surgery (Licence: NY 302845) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2024-05-21 |