| NPI | 1588169429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA12300200) |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NJ 25MA12300200) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2024-10-16 |