NPI | 1538393889 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: CA A106744) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A106744) |
Enumeration Date | 2009-05-14 |
Last Update Date | 2015-09-24 |