| NPI | 1841538832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0053848) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 271613) |
| 207X00000X Orthopaedic Surgery (Licence: ZZ 88733) | |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2022-01-18 |