| NPI | 1952543811 |
|---|---|
| Professional Name | RUSSELL RUBEN RUSSO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: LA MD205273) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2017-03-25 |