| NPI | 1528080777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN DO1840) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN D01840) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TN DO 1840) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2022-07-25 |