| NPI | 1194768994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MS 19880) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN MD025787) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2016-05-27 |