| NPI | 1487948071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MB100776200) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2016-00846) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2020-07-22 |