| NPI | 1083878219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01077615A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME112152) |
| 207X00000X Orthopaedic Surgery (Licence: KY 45743) | |
| 207X00000X Orthopaedic Surgery (Licence: KY R1650) | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2023-11-03 |