| NPI | 1689744526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 127451) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD038483E) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2011-03-22 |