| NPI | 1245438928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NY 276552) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IL 036132317) |
| 207X00000X Orthopaedic Surgery (Licence: PA MT191034) | |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2023-04-09 |