| NPI | 1144497033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NY 256297) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 256297) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NY 256297) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NY 256297) | |
| Enumeration Date | 2008-05-11 |
| Last Update Date | 2019-12-17 |