| NPI | 1538142666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 25MA07139200) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NJ 25MA07139200) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2020-06-15 |