| NPI | 1134194350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD056849L) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 201623) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2008-03-28 |