NPI | 1548211634 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX L8866) |
Additional Taxonomies | 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: TX L8866) |
Enumeration Date | 2006-05-13 |
Last Update Date | 2024-06-07 |