| NPI | 1457770588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: TN 60982) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: LA PGY-202608) |
| 207X00000X Orthopaedic Surgery (Licence: TN 60982) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: PA MD467114) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NJ 25MA10653700) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: MS 27470) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2021-03-17 |