| NPI | 1760537666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0065474) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 60-243390) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2019-06-15 |