| NPI | 1457440240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NY 1961697-7) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NY 1961697-7) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NY 1961697-7) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-02-25 |