| NPI | 1194942078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: RI MD12744) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NY 256162) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NY 256162) | |
| 207X00000X Orthopaedic Surgery (Licence: RI LP00165) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2018-05-22 |