| NPI | 1104822279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01048828A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 30896) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2013-10-30 |