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 |