| NPI | 1427265131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA08540200) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD427179) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2019-10-01 |