NPI | 1437577590 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 54088) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA 162981) |
207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: KY 54088) | |
Enumeration Date | 2014-04-04 |
Last Update Date | 2024-10-24 |