| NPI | 1508863663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: NJ 25MA05028500) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA05026500) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2016-11-15 |