| NPI | 1700043007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MA 249718) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 241941) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2012-07-25 |