NPI | 1376048561 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: CO DR.0074666) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0074666) |
Enumeration Date | 2018-03-28 |
Last Update Date | 2025-06-20 |