| NPI | 1003068230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 34.010778) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 02003844A) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2018-06-19 |