| NPI | 1427374834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA09108200) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 261579-1) |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2013-07-25 |