| NPI | 1629339510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 56915) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT202093) |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: TN 056915) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2023-11-06 |