NPI | 1376798850 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NY 262189) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA L-237524) |
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IL 036-128263) | |
Enumeration Date | 2008-11-25 |
Last Update Date | 2023-03-14 |