| NPI | 1285923391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD481129) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 305044) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2023-09-26 |