| NPI | 1093923468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NY 278850) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 47303) |
| 207X00000X Orthopaedic Surgery (Licence: TN MD47303) | |
| 207X00000X Orthopaedic Surgery (Licence: SD 8302) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2015-08-14 |