| NPI | 1750647509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 53083) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2017011834) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2024-01-17 |