NPI | 1497793657 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD042412L) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA06261200) |
207X00000X Orthopaedic Surgery (Licence: NY 311705) | |
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: PA MD042412L) | |
Enumeration Date | 2006-06-02 |
Last Update Date | 2024-05-21 |