NPI | 1841397221 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NY 191949-1) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA06422500) |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NJ 25MA06422500) | |
207X00000X Orthopaedic Surgery (Licence: NY 191949-1) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2013-06-06 |