| NPI | 1982664793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD027634E) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA09498600) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2022-05-18 |