| NPI | 1780846246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA09492900) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 268575) |
| 207X00000X Orthopaedic Surgery (Licence: PA MT192453) | |
| 207X00000X Orthopaedic Surgery (Licence: PA MD442398) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2018-01-09 |