| NPI | 1871532572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ MA53163) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA05316300) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2023-11-27 |