NPI | 1528020336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: TX M1725) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX M1725) |
Enumeration Date | 2006-04-05 |
Last Update Date | 2021-11-09 |