NPI | 1578091633 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: CO DR.0068155) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301112883) |
207X00000X Orthopaedic Surgery (Licence: CO DR.0068155) | |
Enumeration Date | 2017-06-01 |
Last Update Date | 2023-07-17 |