| NPI | 1831366897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: OH 35124094) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT192601) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: KY TP955) | |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2022-01-27 |