| NPI | 1700099538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 390200000x) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: LA 203010) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2021-04-26 |