| NPI | 1467619106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NH 16181) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 237818) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2014-07-22 |