| NPI | 1750302048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NY 154592) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 154592) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NY 154592) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NY 154592) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2013-06-14 |