| NPI | 1598799041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 189238) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 1532856) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2009-08-04 |