| NPI | 1871880831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MB10515500) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA OS017947) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2023-01-18 |