NPI | 1255379988 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301070950) |
Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: MI 4301070950) |
Enumeration Date | 2006-06-03 |
Last Update Date | 2019-12-12 |