| NPI | 1073668075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD00038475) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01095047A) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2024-11-04 |