| NPI | 1285842468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: MI 4301081855) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ME MD19196) |
| 207X00000X Orthopaedic Surgery (Licence: MI 4301081855) | |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2017-02-20 |