| NPI | 1770670887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TN MD36278) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: TN MD36278) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2022-03-26 |