| NPI | 1942421458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: RI MD15399) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA08238500) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NJ 25MA08238500) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2016-06-21 |