| 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 | 2024-01-17 |