| NPI | 1093882250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN DO01701) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 1701) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2021-01-18 |