| NPI | 1104083823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01072592A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 47401) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA A120536) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2024-11-05 |