NPI | 1538665443 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 1013971) |
Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: WA OP61565404) |
Enumeration Date | 2018-04-01 |
Last Update Date | 2024-08-16 |