| NPI | 1770785883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA09317500) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: NJ 25MA09317500) |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: NJ 25MA09317500) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-06-15 |