| NPI | 1669866927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0058965) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 60453) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2023-06-01 |