| NPI | 1902148281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NY 300261) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 300261) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2022-05-02 |