| NPI | 1801039128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 51252) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 071624) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2018-10-23 |