| NPI | 1881918704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NJ 25MA09663800) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD454489) |
| 207X00000X Orthopaedic Surgery (Licence: FL ME139933) | |
| 207X00000X Orthopaedic Surgery (Licence: NJ 25MA09663800) | |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2024-02-05 |