| NPI | 1477530111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NY 204567) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA08399600) |
| 207X00000X Orthopaedic Surgery (Licence: NY 204567) | |
| 207X00000X Orthopaedic Surgery (Licence: FL ME133003) | |
| 207X00000X Orthopaedic Surgery (Licence: VA 0101238417) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2023-12-08 |