NPI | 1811201403 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 280422) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT198180) |
Enumeration Date | 2010-08-06 |
Last Update Date | 2016-04-19 |