NPI | 1972506996 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: GA 038229) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 038229) |
Enumeration Date | 2005-05-23 |
Last Update Date | 2013-12-05 |