| NPI | 1245891068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 74013) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MS 32638) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MS 32638) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: TN 74013) | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2025-07-31 |