| NPI | 1811006885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MB04123100) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ MB41231) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-11-27 |