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 |