| NPI | 1780735340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NE 25923) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 94-06441) |
| 207X00000X Orthopaedic Surgery (Licence: ID M10971) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NE 25923) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2023-12-13 |