| NPI | 1104841857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101236797) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01083917A) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2021-01-26 |