| NPI | 1831326909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: AZ 50444) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 50444) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: IA MD-41939) | |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2022-07-26 |