| 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 |