| NPI | 1801864392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MB08313400) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA OS011877) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NY 308336) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NJ 25MB08313400) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2024-09-25 |