NPI | 1548601859 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TN 56422) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2019-00093) |
207X00000X Orthopaedic Surgery (Licence: TN 56422) | |
Enumeration Date | 2013-07-15 |
Last Update Date | 2024-10-29 |