| NPI | 1730674003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: NY 331002) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 331002) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2024-08-26 |