| NPI | 1831684893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 67511) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301115508) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2023-08-16 |