| NPI | 1760877799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA11073400) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 304796) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2023-06-25 |