| NPI | 1245274638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD015298E) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 304122) |
| 207X00000X Orthopaedic Surgery (Licence: FL ME152810) | |
| 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: PA MD015298E) | |
| 207X00000X Orthopaedic Surgery (Licence: NJ 25MA094443000) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2022-02-18 |