| NPI | 1750499455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA08242200) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 239267) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NY 239267) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2013-02-12 |