| NPI | 1841294766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN MD 20043) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101054580) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2010-11-22 |