| NPI | 1750592606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: AR E-7955) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: LA MD.202543) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TN 46328) | |
| 207X00000X Orthopaedic Surgery (Licence: AR E-7955) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2014-03-26 |