| NPI | 1417236365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN MD0000007613) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: TN 05-01630) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |