| NPI | 1972705408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 264292) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA mt050063) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2019-07-26 |