| NPI | 1952586851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: TX Q1891) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 56145) |
| 207X00000X Orthopaedic Surgery (Licence: TX Q1891) | |
| 207X00000X Orthopaedic Surgery (Licence: AZ 46211) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: AZ 46211) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: WI 56145) | |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2023-09-28 |