| NPI | 1609127869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NJ 25MA10155500) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA10155500) |
| 207X00000X Orthopaedic Surgery (Licence: NY 307459) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NY 307459) | |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2024-06-17 |