| NPI | 1932260353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NJ 25MA08104300) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25ma08104300) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2019-09-06 |