| NPI | 1508030974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NJ 25MA10320900) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 242377) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2020-07-01 |