| NPI | 1093724635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: CA a143239) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A143239) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NY 269867) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-10-30 |