NPI | 1669699542 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA09077600) |
Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NJ 25MA09077600) |
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NJ 25MA09077600) | |
Enumeration Date | 2007-04-20 |
Last Update Date | 2020-06-15 |