| NPI | 1740456318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA09269800) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 303456) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NJ 25MA09269800) | |
| 207X00000X Orthopaedic Surgery (Licence: PA MD442024) | |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2024-05-21 |