NPI | 1760533616 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD H78771) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MB07758400) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2020-06-08 |