| NPI | 1093100844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: SC 85433) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01083875A) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IN 01083875A) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2021-07-20 |