| NPI | 1992859706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 47019) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101249059) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2024-06-12 |