| NPI | 1346416146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: SC 34487) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 135575) |
| 207X00000X Orthopaedic Surgery (Licence: SC 34487) | |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2019-04-24 |