| NPI | 1518492461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA11249900) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 75518) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2024-07-25 |