| NPI | 1831334960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA OS021533) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MB11207200) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2024-08-19 |