| NPI | 1700020021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN NEJMAN Credentialing Specialist 814-868-2507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA OS08877L) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2023-12-05 |