| NPI | 1417488628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA11723400) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD479951) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2023-09-22 |