| NPI | 1821449604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NJ 25MA11074700) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2022-01471) |
| 208600000X Surgery (Licence: NC 2022-01471) | |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2023-10-27 |