NPI | 1376571877 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD047852L) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME152867) |
207X00000X Orthopaedic Surgery (Licence: NY 303210) | |
207X00000X Orthopaedic Surgery (Licence: NJ 25MA06457900) | |
Enumeration Date | 2006-06-30 |
Last Update Date | 2022-02-25 |