| NPI | 1487657169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 60594) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR MD26225) |
| 207X00000X Orthopaedic Surgery (Licence: HI MD13601) | |
| 207X00000X Orthopaedic Surgery (Licence: KY 53892) | |
| 207X00000X Orthopaedic Surgery (Licence: NY 219380) | |
| 207X00000X Orthopaedic Surgery (Licence: MN 46419) | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2024-05-02 |