| NPI | 1841206653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NJ 25MA08094300) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 2303291) |
| 207X00000X Orthopaedic Surgery (Licence: NJ 25MA08094300) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2019-04-26 |