| NPI | 1932373818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NJ 25MB12567400) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA 0t012084) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: PA OS014832) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2025-06-27 |