| NPI | 1962723528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NY 254533-1) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 254533-1) |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NY 254533-1) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NY 254533-1) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2015-01-04 |