| NPI | 1124231204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01065088A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036-117902) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2010-08-18 |