NPI | 1134611692 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: PA OS023786) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA OS023786) |
Enumeration Date | 2018-05-31 |
Last Update Date | 2024-10-09 |