| NPI | 1891836920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 37381) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN MD0000037381) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2025-04-29 |