| NPI | 1144210337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 29128) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 20278) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2016-01-11 |