| NPI | 1467493478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 199156) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MAO6749400) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2023-03-21 |