| NPI | 1447454434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 249711) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA mt181396) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2008-07-25 |