| NPI | 1003228891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E-13051) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2019-00680) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2020-08-10 |