NPI | 1982922605 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 54079) |
Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: TN 54079) |
207X00000X Orthopaedic Surgery (Licence: NC 164508) | |
Enumeration Date | 2010-05-05 |
Last Update Date | 2018-08-14 |