| NPI | 1144286592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2008-00711) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 222468) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2023-06-23 |