| NPI | 1063453983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 116319-1) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NY 116319-1) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NY 116319-1) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2008-02-25 |