| NPI | 1033198833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 199583-1) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 038292) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2013-10-16 |