| NPI | 1437114402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: MD D42699) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D42699) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: TX L1966) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2021-08-12 |