| NPI | 1386857282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD434177) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: PA MD434177) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NJ 25MA10299300) | |
| 207X00000X Orthopaedic Surgery (Licence: NJ 25MA10299300) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2024-05-10 |