| NPI | 1518918580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25ma067291) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ MA67291) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-12-30 |