| NPI | 1083750830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MT 89989) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01052579A) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2021-05-10 |