| NPI | 1679505044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: MN 43871) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 005096) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: AZ 005096) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2015-07-01 |