| NPI | 1992759138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA07082000) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME152864) |
| 207X00000X Orthopaedic Surgery (Licence: NY 329581) | |
| 207X00000X Orthopaedic Surgery (Licence: PA MD061812L) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NJ 25MA07082000) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2024-05-21 |