| NPI | 1639113608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NJ 25MA08196300) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A83019) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2026-03-31 |