| NPI | 1568439305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA0535220) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: NJ 25MA05352200) |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: NJ 25MA0535220) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2008-07-02 |