| NPI | 1326158833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 288245-1) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 288245) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-07-21 |