| NPI | 1356772479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: NY 300510) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: PA MD464299) |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: CA A133883) | |
| Enumeration Date | 2013-11-30 |
| Last Update Date | 2023-03-27 |