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 |