NPI | 1568585602 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 52525) |
Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: WI 52525) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2019-03-06 |