| NPI | 1801016100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: TN MD43012) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 50414) |
| 207X00000X Orthopaedic Surgery (Licence: TN 43012) | |
| 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: MS 19084) | |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2022-03-18 |