| NPI | 1548473309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MA 24296) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01067069A) |
| 207X00000X Orthopaedic Surgery (Licence: PA MD429898) | |
| 207X00000X Orthopaedic Surgery (Licence: HI MD15455) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2021-05-07 |