| NPI | 1497172431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: ID M-15187) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ID M-15187) |
| 207X00000X Orthopaedic Surgery (Licence: UT 11273470-1205) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: UT 11273470-1205) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2020-11-02 |