| NPI | 1417116351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: CO DR.0051489) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0051489) |
| 207X00000X Orthopaedic Surgery (Licence: NC 201101083) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2018-11-13 |