| NPI | 1275503047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NY 218898) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 218898) |
| 207X00000X Orthopaedic Surgery (Licence: PA Md061168L) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2008-06-19 |