| NPI | 1275564064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: FL OS8628) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL OS8628) |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: NY 329620) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2024-09-27 |