| NPI | 1689818155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 51263) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MS 23383) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2022-07-21 |