| NPI | 1265533095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 16865) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NC 16865) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NC 16865) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2021-05-10 |