| NPI | 1073711388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN MD39664) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MS T1915) |
| Enumeration Date | 2007-07-08 |
| Last Update Date | 2016-02-10 |