NPI | 1205038122 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: TN 48712) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 48712) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2023-10-12 |