| NPI | 1093768939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: NY 272266) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX N1444) |
| 207X00000X Orthopaedic Surgery (Licence: CA A92040) | |
| 207X00000X Orthopaedic Surgery (Licence: TX FTL 41988) | |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NY 272266) | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: NJ 25MA09399400) | |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NJ 25MA09399400) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2013-12-02 |