| NPI | 1710941851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NJ 25MA09003000) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO 39579) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2014-05-16 |