| NPI | 1396981940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: PA MD440925) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 247543) |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2013-09-04 |