| NPI | 1174779284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A115380) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 279337) |
| Enumeration Date | 2008-08-09 |
| Last Update Date | 2024-04-27 |