| NPI | 1730385741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: AR E-8195) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NY 257478) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NJ 25MA8477400) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA A107648) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2022-06-28 |