| NPI | 1689832735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 43545) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 056790) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2025-01-29 |