| NPI | 1154327260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME0066180) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01098946A) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2026-03-02 |