| NPI | 1417362757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: CA 20A14591) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA 20A14591) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2023-03-10 |