| NPI | 1922307214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 292796) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D80880) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2024-02-22 |