| NPI | 1558327395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 18545) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TN MD0000018545) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2019-12-16 |