| NPI | 1487041661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 62972) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 1487041661) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2021-07-19 |