| NPI | 1194801944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 171306) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 035815) |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NY 171306) | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CT 035815) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CT 035815) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NY 171306) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NY 171306) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: CT 035815) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NY 171306) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CT 035815) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NY 171306) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CT 035815) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2010-01-15 |