| NPI | 1992980262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: CO DR.0055766) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: UT 5806689-1205) |
| 207X00000X Orthopaedic Surgery (Licence: CA A108713) | |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2016-04-12 |