| NPI | 1144540790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: OR MD176209) |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: NV 16057) |
| 207X00000X Orthopaedic Surgery (Licence: SC 32738) | |
| 207X00000X Orthopaedic Surgery (Licence: NV 16057) | |
| Enumeration Date | 2010-06-06 |
| Last Update Date | 2022-12-27 |