| NPI | 1841232808 |
|---|---|
| Former Name | SANDRA LOUISE RUBIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: PA MD010217E) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-08 |