| NPI | 1497983548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 281383) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD454986) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2015-12-21 |