| NPI | 1619181856 |
|---|---|
| Professional Name | JESSE WILD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: AZ 41165) |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: AZ 41165) |
| 207X00000X Orthopaedic Surgery (Licence: AZ 41165) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2024-07-19 |