| NPI | 1700896693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA MD.205895) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN MD006673) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2018-04-05 |