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 |