| NPI | 1588956106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: TN 55353) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 55353) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2024-04-10 |