| NPI | 1730442443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MB10332000) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD H83566) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NJ 25MB10332000) | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2019-03-22 |