| NPI | 1851532600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA08962800) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD439946) |
| Enumeration Date | 2009-03-07 |
| Last Update Date | 2023-05-03 |