| NPI | 1598056699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA10160200) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 274739) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2018-11-07 |