| NPI | 1891951661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA09324500) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 275754) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2015-10-09 |