| NPI | 1417084468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA05619200) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO 34742) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2024-11-14 |