| NPI | 1285834804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: TN 46130) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MS 19484) |
| 207X00000X Orthopaedic Surgery (Licence: TN 46130) | |
| Enumeration Date | 2007-07-22 |
| Last Update Date | 2022-10-06 |