| NPI | 1053526533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX M4142) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01064754A) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2023-08-11 |