| NPI | 1275748428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL 32454) |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: AL 32454) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2024-02-01 |