| NPI | 1467434167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD033434E) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA10692900) |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: FL ME74919) | |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2024-04-26 |