| NPI | 1396939252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA09464900) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA 107571) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2023-11-27 |