| NPI | 1427391697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 59286) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV 17769) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2021-01-14 |