| NPI | 1447493820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA09661500) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 257989) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2015-09-18 |