| NPI | 1396775243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 203658-01) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA07375200) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2024-12-23 |