NPI | 1336448588 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TN 54212) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 54212) |
Enumeration Date | 2011-03-26 |
Last Update Date | 2023-10-13 |