NPI | 1689683674 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: TX H3876) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX H3876) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2022-10-19 |