NPI | 1396374716 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NV DO3929) |
Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NV DO3929) |
Enumeration Date | 2020-04-07 |
Last Update Date | 2025-08-05 |