| NPI | 1508208943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NV 18708) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV 18708) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2021-12-20 |