| NPI | 1366706129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0068521) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 5483) |
| 207X00000X Orthopaedic Surgery (Licence: TN 57315) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2023-09-25 |