| NPI | 1821057480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E4743) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AR E-4743) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2024-06-20 |