| NPI | 1699715920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: RI 091520) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: RI 09152) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2012-02-07 |