| NPI | 1538393178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA09719000) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD455197) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: PA MD455197) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NJ 25MA09719000) | |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2021-11-03 |