| NPI | 1851513931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 46811) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ID M-11618) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2013-08-26 |