| NPI | 1932605201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA12348800) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD486372) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-08-30 |