| NPI | 1811486566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 71585) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AR E-16621) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2025-08-22 |