| NPI | 1780670190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA06534000) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 201752) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2018-08-20 |