| NPI | 1821433673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: WV 26524) |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: TN 57320) |
| 207X00000X Orthopaedic Surgery (Licence: TN 57320) | |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2023-08-14 |