| NPI | 1922214923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: TN 49697) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 49697) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2018-05-01 |