| NPI | 1568797553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NJ 25MA11516300) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME132696) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: FL ME132696) | |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2026-04-29 |