| NPI | 1043381122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: HI MD - 13716) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA 37174) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2021-07-15 |