| NPI | 1154512275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TN MD46002) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA L-224889) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2022-03-23 |