| NPI | 1073196184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MS T-6309) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 58.032290) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2026-08-01 |