| NPI | 1750383576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 33974) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101053006) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2025-10-09 |