| 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) | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2022-08-15 |