| NPI | 1134415235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 77824) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 11015944A) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2025-10-22 |