NPI | 1316033426 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 149220) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 39238) |
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CT 039238) | |
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NY 149220) | |
Enumeration Date | 2006-10-05 |
Last Update Date | 2020-12-18 |