NPI | 1982048450 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MB10533200) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2018006616) |
Enumeration Date | 2013-04-26 |
Last Update Date | 2019-09-06 |