| NPI | 1265727283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: PA MD462685) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125059123) |
| 207X00000X Orthopaedic Surgery (Licence: TX Q8058) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NJ 25MA10204100) | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2022-02-18 |