| NPI | 1639337108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 236884) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA08595800) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2009-09-22 |