| NPI | 1447471131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SD 7052) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 229573-1) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2022-06-02 |