| NPI | 1649346776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MBO2347300) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 140960) |
| 207X00000X Orthopaedic Surgery (Licence: PA OS002625L) | |
| 207X00000X Orthopaedic Surgery (Licence: ND 9225) | |
| 207X00000X Orthopaedic Surgery (Licence: VA 0102201727) | |
| 207X00000X Orthopaedic Surgery (Licence: GA 057205) | |
| 207X00000X Orthopaedic Surgery (Licence: MO 2006003817) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |