| NPI | 1437140696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NY 150987-1) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 150987-1) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NJ MA69805) | |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2019-01-08 |