| NPI | 1457311755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 239176-1) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY AS1535989) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2018-12-28 |