| NPI | 1437446887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: MN 61418) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101019507) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2022-07-21 |