NPI | 1477916492 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: AZ 68821) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 63180) |
207X00000X Orthopaedic Surgery (Licence: AZ 68821) | |
207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: CO DR.0073911) | |
Enumeration Date | 2016-03-29 |
Last Update Date | 2024-09-04 |