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 |